Nevada Medicaid and Nevada Check Up News (First Quarter 2018 Provider Newsletter) [Read]

Attention All Providers: Requirements on When to Use the National Provider Identifier (NPI) of an Ordering, Prescribing or Referring (OPR) Provider on Claims [Announcement 850]

If you are a Medicaid provider whose revalidation application has not been processed by your termination due date, you will be ineligible to provide services to any Nevada Medicaid or Nevada Check Up recipients, including both Fee-for-Service and Managed Care Organization (MCO) enrolled recipients. See Web Announcement 1265

Enrollment Termination Frequently Asked Questions (FAQs) [Review]


Urgent: The adjudication of claims for physician-administered drugs submitted last week may be delayed due to a claims processing issue. The claims may pend with edit code 0899 (National Drug Code (NDC) claims are pending during transition period) on remittance advices dated June 22, 2018. This notification will be updated when the issue is resolved and when the claims are processed.

Attention Electronic Billing Trading Partners: Preparations Continue for the Medicaid Management Information System Modernization Project – Inbound Companion Guides Now Available. [See Web Announcement 1617]

Attention All Providers and Electronic Billing Trading Partners: Medicaid Management Information System Enhancements Will Improve Claims and Enrollment Processes. [See Web Announcement 1559]

The Division of Health Care Financing and Policy (DHCFP) has selected LIBERTY Dental Plan of Nevada (LIBERTY) as the new Managed Care Dental Benefits Administrator (DBA) effective January 1, 2018, to serve recipients enrolled in a Managed Care Organization (MCO). [See Web Announcement 1442]

Scheduled Site Maintenance

During the scheduled site maintenance window the Provider Web Portal will be unavailable. The table below shows the regularly scheduled maintenance window. All times will be in the Pacific time zone.

Monday - Friday
12:00AM - 12:30AM

8:00PM - 12:30AM

Contact the Provider Training Unit

Provider Relations Field Service Representative Team Territories: Please refer to the attached document to determine which Field Representative is assigned to assist you with inquiries.

Nevada Medicaid and the Division of Health Care Financing and Policy (DHCFP)/Nevada Medicaid are committed to helping providers understand billing policy and successful claim submission. With these priorities in mind, we offer opportunities to increase your knowledge throughout the year in a variety of locations, formats and times, including lunch and learn sessions held during lunch hours to minimize time needed to be away from regular business hours. Instructor-led virtual training is also a great opportunity when travel is not possible, or when multiple staff from an office plan to attend.

Training is free of charge and we encourage the attendance of billing staff, billing agencies, direct practitioners/health care providers, office managers, admitting and front-desk staff, etc.

Provider training workshop schedules will be posted quarterly in a Web Announcement and on this webpage. Registration is required to attend the scheduled workshops. To register, simply select the 2018 Provider Training Registration Website link below, select the workshop of your choice, complete the required information and submit.

If you have difficulty registering, please send an email to our Provider Services Field Representative Team at Please include your name, contact information, and the workshop you are attempting to register to attend. A Field Representative will contact you to assist with the registration process.

In addition to the training workshops scheduled throughout the year, Provider Services Field Representatives are available in your area to assist when you have questions, concerns or additional training needs. As a reminder, the Annual Medicaid Conference is not a venue to discuss specific billing issues as they may include sensitive and confidential information. Please do not hesitate to reach out to your Field Representative as the need arises. If you are unsure who your representative is, please select the Provider Relations Field Service Representative Team Territories link and review Web Announcement 719 for additional details.

Training Calendar and Registration
Training Calendar
2018 Provider Training Registration Website
Training Announcements
Updated Date Title
June 4, 2018 New Provider Training Scheduled for June 2018
May 23, 2018 Attention Provider Type 32 (Community Paramedicine Providers): Training Sessions Scheduled
May 17, 2018 Attention Provider Type 33 (Durable Medical Equipment): Training Sessions Scheduled
May 15, 2018 Attention Provider Type 14 (Behavioral Health Outpatient Treatment): Training Sessions Scheduled
May 10, 2018 Attention Provider Type 85 (Applied Behavior Analysis): Training Sessions Scheduled
May 9, 2018 Attention Provider Types 30 and 83 (Personal Care Services): Training Sessions Scheduled
May 1, 2018 Attention Provider Type 34 (Therapy): Training Sessions Scheduled
Apr. 23, 2018 New Provider Training Scheduled for May 2018
Mar. 26, 2018 New Provider Training Scheduled for April 2018
Feb. 22, 2018 New Provider Training Scheduled for March 2018
Jan. 25, 2018 New Provider Training Scheduled in February 2018
Dec. 29. 2017 Training Scheduled for New Providers and Nursing Facilities in January 2018
Dec. 1, 2017 Date Scheduled for Nevada Medicaid Applied Behavior Analysis Provider Training
Nov. 16, 2017 Upcoming Nevada Medicaid Applied Behavior Analysis Provider Training
Oct. 06, 2017 Dates Scheduled for Nevada Medicaid Community Paramedicine Training Sessions
Aug. 29, 2017 Upcoming Nevada Medicaid Community Paramedicine Provider Training and Enrollment Sessions
Self-Paced Training

Self-paced, computer-based training courses available on demand for providers.

Group Code Training Portal
PROV Nevada Medicaid Training Portal
Date Topic
July 2017 Learning Management System (LMS) Tip Sheet

Serious Occurrence Report (SOR) Form Instruction Video
Workshop Materials

Workshop materials will be posted to this site upon completion of the workshop.

Date Topic
June 2018 Adult Day Health Care (Provider Type 39) Provider Training
June 2018 Claims Appeals, Adjustments and Voids Provider Training | Tip Sheet for Claims Appeals
June 2018 Psychiatric Hospital, Inpatient (Provider Type 13) Provider Training
May 2018 Outpatient Mental Health Treatment Plan Fact Sheet
May 2018 Registered Dietitian (Provider Type 15) Provider Training
April 2018 Durable Medical Equipment (Provider Type 33) Provider Training
April 2018 Personal Care Services Provider Training
April 2018 Therapy Provider Training
April 2018 Behavioral Health Provider Training
February 2018 Hospice Provider Training (Authorization and Claim Information)
February 2018 Applied Behavior Analysis (ABA) Provider Training | Appendix A: ABA Common Denial Edits and Resolutions
January 2018 New Provider Orientation
December 2017 Dental and Orthodontia Provider Web Portal Provider Training
November 2017 Hospice Provider Training (Policy Updates)
October 2017 Community Paramedicine Provider Training
July 2017 Provider Web Portal Prior Authorization Training (Updated October 2017)
July 2017 Personal Care Services Provider Web Portal Training
July 2017 How to Create a Prior Authorization (Tip Sheet)
March 2017 Payerpath CMS-1500 Training
March 2017 Payerpath UB-04 Training
March 2017 Payerpath Dental Training
June 2016 Nevada Medicaid Nursing Facility PASRR/LOC Training
June 2016 Nursing Facility Tracking Form Validation Guide
June 2016 Nevada Medicaid Nursing Facility and ICF/IID Tracking Process Training
June 2016 ICF/IID Tracking Form Validation Guide
December 2015 PASRR Training
March 2015 Instructions for Requesting Roles, Approving Roles and Removing Users in the PASRR Web Portal
August 2015 ICD-10 Overview
August 2014 National Drug Code (NDC): Billing for Outpatient Drugs Administered in Physician Offices, Urgent Care Settings, Clinics and Outpatient Facilities
September 2013 New Level Of Care (LOC) Screening Tool for PASRR Users